2004
DOI: 10.1097/00005344-200403000-00013
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Post-Ischemic Cardioprotection by A2A Adenosine Receptors: Dependent of Phosphatidylinositol 3-Kinase Pathway

Abstract: Activation of myocardial A2A adenosine receptors during reperfusion has been shown to be cardioprotective. The intracellular mechanisms underlying this protection remain unknown. To understand the beneficial effects of activated A2A adenosine receptors in such a state, we investigated whether the enzymes phosphatidylinositol 3-kinase (PI3K) and caspase-3 can account for this post-ischemic cardioprotective effect in an anesthetized rabbit model of myocardial infarction (30 minutes ischemia; 5 hours reperfusion)… Show more

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Cited by 49 publications
(46 citation statements)
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“…It was surprising that the antihypertrophic effects of adenosine receptor agonists were similarly observed with agents acting on the A 1 , A 2A , and A 3 receptors in relatively equal fashion. Nonetheless, despite the fact that these receptors are coupled to diverse cell signaling processes, activators of multiple adenosine receptor subtypes have also been shown to protect the ischemic and reperfused myocardium (Yao and Gross, 1993;Auchampach et al, 2003;Boucher et al, 2004). In the present study, the antihypertrophic effect of adenosine agonists was associated with prevention of early up-regulation of the immediate early gene c-fos which is likely an important event during the development of early hypertrophy (Babu et al, 2000).…”
Section: Discussionmentioning
confidence: 52%
“…It was surprising that the antihypertrophic effects of adenosine receptor agonists were similarly observed with agents acting on the A 1 , A 2A , and A 3 receptors in relatively equal fashion. Nonetheless, despite the fact that these receptors are coupled to diverse cell signaling processes, activators of multiple adenosine receptor subtypes have also been shown to protect the ischemic and reperfused myocardium (Yao and Gross, 1993;Auchampach et al, 2003;Boucher et al, 2004). In the present study, the antihypertrophic effect of adenosine agonists was associated with prevention of early up-regulation of the immediate early gene c-fos which is likely an important event during the development of early hypertrophy (Babu et al, 2000).…”
Section: Discussionmentioning
confidence: 52%
“…We have measured the activity of the caspase-3 and -8 after 15 minutes of reperfusion because previous data indicate that this activity is high during the first minute of reperfusion to reduce, and it is also basal at 5 hours of reperfusion [23].…”
Section: Discussionmentioning
confidence: 99%
“…In heart, this G protein-coupled receptor (GPCR) influences coronary tone and angiogenesis, cardiac contractility, fibroblast growth and fibrosis and may mediate protection via ischaemic pre-and postconditioning [8][9][10]. Inflammatory modulation contributes to this latter cardioprotection [9][10][11], together with the regulation of myocyte kinase signals to limit oxidative stress, mitochondrial dysfunction and cell death [12][13][14]. However, impacts of the A 2A R on integrated myocardial responses to uncontrolled inflammation, and the mechanisms underlying such effects, remain to be elucidated.…”
Section: J Ashton and Melissa E Reichelt Denotes Equal First Authormentioning
confidence: 99%
“…Receptor deletion fails to modify inflammatory markers/injury in some studies [22], reportedly worsens endotoxemic injury in heart [23] and lung [15,24] and improves survival in models of polymicrobial sepsis [25,26]. These divergent outcomes may reflect different cell-and organ-specific effects of A 2A Rs, for example promoting inflammasome formation and macrophage-dependent injury [27], impairing bacterial clearance [25], while activating cardiac survival signalling and suppressing inflammation [3,7,[12][13][14]. Nonetheless, opposing effects of endogenous vs. exogenous (or amplified endogenous) adenosine are evident within cell types, for example inhibiting vs. promoting vascular myocyte NOS activation with inflammation [28].…”
Section: J Ashton and Melissa E Reichelt Denotes Equal First Authormentioning
confidence: 99%